Evidence map›Paper›PMID 34235880›Full record

GuidelineArthritis care & research2021

2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.

Sharon A Chung, Carol A Langford, Mehrdad Maz, Andy Abril, Mark Gorelik, Gordon Guyatt, Amy M Archer, Doyt L Conn, Kathy A Full, Peter C Grayson and 22 more

Abstract readSystematic ReviewPractice Guideline
In one paragraph

Guideline in Arthritis care & research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 1 pooled it
25.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 1 synthesis or guideline pooled it, 214 citations in OpenAlex.

  1. Pooled it
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  8. Real-world outcomes and corticosteroid sparing with mepolizumab for EGPA or HES.The journal of allergy and clinical immunology. Global · 2026
    Article
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 20 institutions in 2 countries.

Sharon A ChungUniversity of California, San Francisco.
Carol A LangfordCleveland Clinic, Cleveland, Ohio.
Mehrdad MazUniversity of Kansas Medical Center, Kansas City.ORCID 0000-0002-3594-0508
Andy AbrilMayo Clinic, Jacksonville, Florida.
Mark GorelikColumbia University, New York, New York.
Gordon GuyattMcMaster University, Hamilton, Ontario, Canada.
Amy M ArcherNorthwestern University, Chicago, Illinois.
Doyt L ConnEmory University, Atlanta, Georgia.ORCID 0000-0003-3303-3944
Kathy A FullSpringfield, Illinois.
Peter C GraysonNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.ORCID 0000-0002-8269-9438
Maria F IbarraChildren's Mercy Hospital, Kansas City, Missouri.
Lisa F ImundoColumbia University, New York, New York.
Susan KimUniversity of California, San Francisco.
Peter A MerkelUniversity of Pennsylvania, Philadelphia.ORCID 0000-0001-9284-7345
Rennie L RheeUniversity of Pennsylvania, Philadelphia.ORCID 0000-0002-4907-0304
Philip SeoJohns Hopkins University, Baltimore, Maryland.
John H StoneMassachusetts General Hospital, Boston.ORCID 0000-0001-6588-9435
Sangeeta SuleChildren's National Hospital, Washington, DC.ORCID 0000-0002-5876-376X
Robert P SundelBoston Children's Hospital, Boston, Massachusetts.
Omar I VitobaldiChicago, Illinois.
Ann WarnerSaint Luke's Health System, Kansas City, Missouri.
Kevin ByramVanderbilt University, Nashville, Tennessee.
Anisha B DuaNorthwestern University, Chicago, Illinois.
Nedaa HusainatSSM Health-St. Mary's Hospital, St. Louis, Missouri.ORCID 0000-0002-9638-2992
Karen E JamesUniversity of Utah, Salt Lake City.
Mohamad A KalotState University of New York at Buffalo.ORCID 0000-0002-6581-4561
Yih Chang LinUniversity of South Florida, Tampa.
Jason M SpringerUniversity of Kansas Medical Center, Kansas City.ORCID 0000-0002-3903-6049
Marat TurgunbaevAmerican College of Rheumatology, Atlanta, Georgia.
Alexandra Villa-ForteCleveland Clinic, Cleveland, Ohio.
Amy S TurnerAmerican College of Rheumatology, Atlanta, Georgia.ORCID 0000-0001-7695-2022
Reem A MustafaUniversity of Kansas Medical Center, Kansas City, and McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-2091-0875
University of Kansas Medical Center · USAmerican College of Rheumatology · USCleveland Clinic · USColumbia University · USNorthwestern University · USUniversity of California, San Francisco · USUniversity of Pennsylvania · USBoston Children's Hospital · USChildren's Mercy Hospital · USChildren's National · USEmory University · USJacksonville College · USJohns Hopkins University · USMassachusetts General Hospital · USMcMaster University · CANational Institute of Arthritis and Musculoskeletal and Skin Diseases · USSaint Luke's Health System · USSt. Mary's Hospital · USUniversity at Buffalo, State University of New York · USUniversity of Illinois at Springfield · US

Funding

Intramural NIH HHS Z99 AR999999
6 · The paper itself

Abstract

objectiveTo provide evidence-based recommendations and expert guidance for the management of antineutrophil cytoplasmic antibody-associated vasculitis (AAV), including granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA).

methodsClinical questions regarding the treatment and management of AAV were developed in the population, intervention, comparator, and outcome (PICO) format (47 for GPA/MPA, 34 for EGPA). Systematic literature reviews were conducted for each PICO question. The Grading of Recommendations Assessment, Development and Evaluation methodology was used to assess the quality of evidence and formulate recommendations. Each recommendation required ≥70% consensus among the Voting Panel.

resultsWe present 26 recommendations and 5 ungraded position statements for GPA/MPA, and 15 recommendations and 5 ungraded position statements for EGPA. This guideline provides recommendations for remission induction and maintenance therapy as well as adjunctive treatment strategies in GPA, MPA, and EGPA. These recommendations include the use of rituximab for remission induction and maintenance in severe GPA and MPA and the use of mepolizumab in nonsevere EGPA. All recommendations are conditional due in part to the lack of multiple randomized controlled trials and/or low-quality evidence supporting the recommendations.

conclusionThis guideline presents the first recommendations endorsed by the American College of Rheumatology and the Vasculitis Foundation for the management of AAV and provides guidance to health care professionals on how to treat these diseases.

Indexed as

Antibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisBiomarkersClinical Decision-MakingConsensusDecision Support TechniquesEvidence-Based MedicineHumansImmunosuppressive AgentsRheumatologySeverity of Illness IndexTreatment OutcomeAntibodies, Antineutrophil CytoplasmicBiomarkersImmunosuppressive Agents

Identifiers

PMID34235880
PMCPMC12344527
OpenAlexW4237487483

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.